HomeMy WebLinkAbout2011-01-13 Form 460 - PS Fire ManagementFtecipient Committee
Campaign Statement
Cover Page
Type or print in ink. Date Stamp CALIFORNIA
2001102
FORM (Government Code Sections 84200-84216.5)
RECEIYE'"-~,,.1
.-----------------.---------------.t· 1---~ \1 JF pf.._ LM ... • : ...
Statement covers period
from 7-/-/0
SEE INSTRUCTIONS ON REVERSE through J 2 -j/-/0
1. Type of Recipient Committee: All Comm--Complllla Parts 1, 2, 3, and 4.
D Officeholder, Candidate Controlled Committee D Primarily Fanned Ballot Measure
O State Candidate Section Committee Committee
O Recall O Controlled
(Atso Complete Pan 5/ O Sponsored
~ General Purpose Committee
~Sponsored 0 Small Contributor Committee
O Political Party/Central Commitlee
3. Committee Information
(-C°""'le" Pad6l
D Primarily Formed Candidate/
Offlceholder Committee
(Also Complete Pad 7)
ZIP_,.lJ,°DE _ • • AREA CODE/PHONE c.r -z. Z.h l.. /
ERENT) ND. AND STREET OR P.O. BOX
/7(, I
STATE ZIP CODE AREA CODE/PHONE
C:ti . '1 Z,(, $
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the
E>ceculed on /-/ '5 --/ / o. ..
Date of election If appllcable: \Q
{Month, Day, Year) 20\ \ J~N \ 3 M'\ : $age___ of __ _
For Official Use Only
JAr"tE$ "fiWrfr';;.C
CIT'i CLERK
2. Type of Statement:
D Preelection Statement
D Semi-annual Statement
D Termination Statement
{Also file a Fann 410 Tennination)
D Amendment (Explain below)
Treasurer(s)
NAME OF TREASURlf
bL_Ot1
f?l.l""" ,fJr, ;.,t5 5 Cljli ~ •
NAME OF ASSISTA7'~EASUR£R, IF ANY
MAILING ADDRESS
CITY
OPTIONAL: FAX I E-MAIL ADDRESS
STATE
• • ~ .. : •..
D Supplemental Preelection
Statement • Attach Form 495
ZIP CODE • AREA
ZIP CODE AREA CODEIPKONE
Executed on -----~Date-------
By _____________________________ _
SignaluragfCont.rcl!ng Officaholder, Candidate, State Measure Proponent orR-esponsille Officer of Sponsor
E>cecuted on------."""'=------
Executed on ------::Oats,.,...------
By _____________________________ _
Sfgnature afControlling Offioehcklar, Candidate, Stam Maawre Propcnenl
By ------=s;...,on""•"...,,.,-ot""c""o-ntrol,...,,,lin-g-=Olli=-ooh,..old.,..,..."""· ean=-d"'.,."'••-."'s1a""'1e""M""•-•--=p,.-.-... -n,,-------
FPPC Fonn 460 (January/OSI
FPPC Tol~Free H&lpHne: 866/ASK-FPPC (8661275-37721
State of California
Type or print In Ink. SUMMARY PAGE Campaign Disclosure Statement
Summary Page
Amounts may ba rounded
to whole do liars. Statement covers period
from "7-/-/6
CALIFORNIA 4 6 0
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
1. Monetary Contributions .............................. .,......... .. Scheoole A, Une 3 $
2. Loans Received ........................................ .............. Schedule B, Una 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddUnes 1 + 2 $
4. Nonmonetary Contributions .................................... Schedule c. line 3
5. TOTALCONTRIBUTIONSRECEIVED ........................... AddUnes3+4 $
Expenditures Made
6. Payments Made ...... ................................................. Schedule E, Line 4 $
7. Loans Made ......................... .... ................................ Schedule H. Line 3
8. SUBTOTALCASHPAYMENTS .................................... AddUnes6+7 $
9. Accrued Expenses (Unpaid Bills) ............................... ScbeduleF. Line3
10. Non monetary Adjustment .......................................... Schedule c. Line 3
11. TOTALEXPENDITURESMADE ................................ Adc/Uness+s+10 $
Current Cash Statement
12. Beginning Cash Balance ....................... P,.,vious summary Page. Line 16 $
13. Cash Receipts ................................... ................ Column A, Line 3 above
14. Miscellaneous Increases to Cash........................... Schedule 1, Une 4
15. Cash Payments.................................................. Column A, Line 8 above
16. ENDINGCASHBALANCE .......... AddUnes 12+ 13+ 14, thensubtlllClUne 15 $
If this is a tenninatian statement, Une 16 must be zero.
17. LOAN GUARANTEES RECEIVED . .......................... Schedule B, Pait 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents........................................ see instrucuons cm reverse $
19. Outstanding Debts......................... AddUne2+Line 9in Column Babove $
ColumnA
TOTAL TI-tlS PERIOD
(FROM ATTACI-IEOSCHE;Oll.ES)
5l{tO)
. ./ 'I
through _,_/--=2'---'-?_/_,...._/_0_ Page ___ of __ _
Columns
CALE:NCAR YEAR
TOTALTOOATE
$
$
$
$
$
$
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
I.D. NUMBER
11--tQ r-rrr
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6/30 711 lo Date
20. Contributions
Received $ ____ _ $ ____ _
21. Expenditures
Made $ ____ _ $ ____ _
Expenditure Limit Summary for State
Candidates
22. Cumulatlve Expenditures Mada*
(ti' Subject to Voluntary Expendttu:re Umlt)
Date of Bectlon
(mm/ddJyy)
__)__) __
Total to Date
$ _____ _
__)__)___ $ ____ _
*Amounts in this section may be different from amounts
reported In Column B.
FPPC Form 460 (January/OS)
FPPC Toll-Free Halpfina: 866/ASK-FPPC (8661275-3772)
'>
Schedule A
Monetary Contributions Received
Type or print In Ink.
Amounts may be rounded
to whole dollars.
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SaF..EMPlOYED, ENTER NAME
OF BUSINESS)
RECEIVED {IFCOMMITTEE.ALSOEr-lTERI.O.NUMBERJ CODE *
Schedule A Summary
1. Amount received this period-itemized monetary contributions.
•IND •COM
DOTH •PTY •sec •IND •COM
DOTH •PTY •sec
•IND •COM
DOTH •PTY •sec
•IND •COM
00TH
OPTY •sec
•IND •COM
DOTH •PTY •sec
SUBTOTAL$
SCHEDULE A
Statement covers period
CALIFORNIA 460
FORM from 2-r-10
through _,/.__C_)_f_-_J_tJ_ Page ___ of __ _
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
PER ELECTION
T0DATE
(IF REQUIRED)
*Contributor Codes
IND -Individual
(Include all Schedule A subtotals.) ........................................................................................................ $ _____ _ COM -ReciJ)ient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party 2. Amount received this period-unitemized monetary contributions of less than $100 ............................. $ ______ _
3. Total monetary contributions received this period. ~ lo • Bi
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ /f/1 tj, ~ ,
SCC-Small Contributor Committee
FPPC Fonn 460 jJanuary/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule B -Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMIIITTEE. AL.SO ENTER 1.0. NUMBER)
t • IND O COM O 0TH O PTY O SCC
to IND O COM O 0TH O PTY O sec
to IND O COM O 0TH O PTY O sec
Schedule B Summary
<IF SELF-EMPLOYED. ENTER
NAME OF BUSINES~
Type or print In Ink.
Amounts may be rounded
to whole dollars.
SUBTOTALS$ $
•PAID
0 FORGIVEN
•PAID
•FORGIVEN
•PA>D
0 FORGi\lEN
1. Loans received this period .................................................................................................................... $
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period ......................................................................................................... $
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $
Enter the net here and on the Summary Page, Column A, Line 2.
•Amounts forgiven or paid by another party also must be reported on Schedule A.
-If required.
SCHEDULE B-PART1
Statement covers period
CALIFORNIA 460
FORM from 2-~ /--j{)
through /'2-J/-/ {) Paga ___ of __ _
$
$
DATEDUE
DP.TE DUE
DATE DUE
$
(e)
INTEREST
PAID THIS
PERIOD
--" RATE
__ ..
RATE.
--" RAT.E
I.D. NUMBER
(f)
ORIGINAL
AMOUNTOF
LOAN
DATE INCURRED
$ ___ _
DP.TE INCURRED
DATE INCURRED
111)
CUMULATIVE
CONTRIBUTIONS
TO DATE
CP.UENDAR YEP.R
PER ELECTION-
PER ELECTION-
CALENDAR YEAR
P:ER ELECTION-
$ ___ _
(E-{e)on
Schedule E Line 3}
tContributor Codes
IND -lndhlidual
COM-Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
SCC-Sma~ Contributor Committee
FPPC Form 460 IJanuary/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
SCHBJULEE ScheduleE
Payments Made
fype or print In Ink.
Amounts may be rounded
to whole dollars.
Statament covers period
from 7-J ,-JO CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE through /2-3/-/0 Paga ___ of __ _
NAME OF FILER
I-
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise. describe the payment
0/P campaign paraphernalia/misc. IVl3R membercommunications RAD radio airtime and production costs
CNS campaign consultants MfG meetings and appearances RFD returned contributions
CIB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries
eve civic donations PEr petition circulating TB.. t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
N) independent expend~ure supporting/opposing others {explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
LIT campaign iterature and mailings PRr print ads VIEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
,(If COMMITTEE, ALSO ENTER ID. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Mw2-
• Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ _____ _
2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ _____ _
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $----.----
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ ,/la)~
FPPC Fonn 460 (January/05)
FPPC Tall-Free Helpline: 866/ASK-FPPC (866/275--3n2J
Schedule.E
(Continuation Sheet)
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
I-/J)-<-
Statement covers period
from 7·-/-Jt)
through / '2-5 /-J()
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
SCHEDULE E (CONT.)
CALIFORNIA 460
FORM
Page ___ of __ _
Cl\lP campaign paraphernaialmisc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetaiy)* OFC office expenses SAL campaign workers' salaries
eve civic donations PEr petition circulating TEL t.v. or cable airtime and production costs
Fll candidate filing/ballot fees PHO phone banks lRC candidate travel, lodging, and meals
FND fundraising events POL polHng and survey research TRS stafffspouse travel, lodging, and meals
N) independent expenditure supporting/opposing others (explain)' POS postage, deliveiy and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional se,vices (legal, accounting) V0T voter registration
LIT campaign lilerature and mailings PRT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE CODE {IF COMMITTEE. ALSO ENTER I.D. NUMBER)
#okfL-
• Payments that are contributions or independent expenditures must also be summarized on Schedule D.
OR DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL $ A/(J}~
FPPC Form 460 IJanuary/051
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-37721
Schedule I
Miscellaneous Increases to Cash
DATE
RECEIVED
/-(~-((
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER l.O. NUMBER}
Attach additional infonnation on appropriately labeled continuation sheets.
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from ?-J--/CJ
through /Z-3/-Jo
DESCRIPTION OF RECEIPT
SUBTOTAL$
~~~:~~~= i~!r~::~;casl1 this period ........................................................................................................................ $ ---6~/_j __
2. Unitemized increases to cash of under $100 this period ............................................................................................. $ _____ _
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ _____ _
4. ~~t~l:~~~~a9n:,o~~~n~;~,a_~-~-~--l·~--~-~-~-~--~~-'.~ .. ~~~'.~~: .. ~~~~--~-i-~-~-~--~_' .. ~:.~~~--~----~~~~~--~-~~~-~-~-~--~-~--~~~---···· TOTAL $--~'~'~'-f .... · __
SCHEDULE I
CALIFORNIA 460
FORM
Page __ of __
I.D.NUMBER
t-¾J2'M.
AMOUNT OF
INCREASETOCASH
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in Ink.
Staten,ant rov11rs period I : --;'_.I -/() h..:.-,;, _· .. __ ', ·r
&-JrJ-/o through ---"Z---~---'---
1. Type of Recipient Committee: All commlttaas-CompletePans 1, 2, J, and 4.
O Officeholder, Candidate Controlled Committee O Primarily Formed Ballot Measure
O State Candidate Election Committee Committee
O Recall O Controlled
(Also comp1e1e Pert 5/ O Sponsored
~ GeneralPurposeComrnlltee
'15-Sponsored
(J SmaH Contributor Commtttee
O Political Party/Central Committee
3. Committee Information
4. Verification
(Ai.oComplolePa~6}
O Primarily Formed Candidate/
Officeholder Committee
(Also complete Pm 7J
AREA CODE/PHONE
Data Stamp
. 4 f ~ .'..... _,:-, i i:
CITY CU\\
2. Type of Statement:
D Preelection Statement
O Semi-amual Slatement
0 Termination Slatement
(Also file a Form 410 Temination)
O Amendment (Explain below)
Treasurer(s)
MAILING ADDRESS
CITY
OPTIONAL, FAX I E-MAIL ADDRESS
STATE
O Quarterly statement
0 Special Odd-Year Report
O SupplementalPreelection
statement -Attach Form 495
ZIP CODE AREA CODE/PHONE
I have used al reasonable diligence in preparing and reviewing this statement and lo the best of my knov.tedge the information contained herein and in the attached schedules is true and complete. I certify -=~"'" , ..... ;; .. -~""""' ........... : ... --~~
Dale Signab . .ira of Treasurer ar Assistant Treaurar
Executed on _____ .,.Dale...-------
Executed on-----.,._-.--_____ _
Executed on -----.,.Oats-:-------
By ---,5"'11181__,.Ln-o"'IC,-oo..,.IJOl-,ling""' ""'0111=-ca..,.h"'oldat..-,&.iiiai.-.....,,..o,"'SG11s..,..M"'oas_u_ra.,Pr-op-,....-.-or""R,-es-pon-..~ble,,..,Olli"'1_cer_o""1s'"po_n_so_, __
By -------,si,i"'· --na-.-i...,=or"'c,-on-.-iro&,g.,,...""Ofllce="'m""lda"'r"",c"'a""ndi"'dal"'•.,.., s"'1a"'ta""Maasu'=""'..,"'P"'"'""po"'neo=1------
By -------,Sig.,.. --,,.-.-...,=o1"'C:-ontro=lin--. g""Offlcefuide==r,,-,,c"'a"'nc1"'c1at"'e:-,5:::1a:,18:-:M""ea"'°""'"'"'P"'roponen==,------
FPPC Form 480 (Januaryl05)
FPPC Toll.free Helpllne: 8111/ASK-FPPC (8811/2754772)
State ol Ca61amla
ScheduleA
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars,
C
ElATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IFCOWITTEE,ALSOENTE:R1.'D.NUMBER) CODE •
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMl'LOYEO. ENTER NAME
OF BUSINESS)
Schedule A Summary
1. Amount received this period-itemized monetary contributions.
QIND •COM
00TH •PTY •sec
•IND •COM
00TH •PTY •sec
QJND •COM
00TH •PTY •sec
•IND •COM
00TH
QPTY •sec
•IND •COM
DOTH
0PTY •sec
SUBTOTALS
SCHEDULE A
Statement covers period
CALIFORNIA 460
FORM from __._I ----=-I -----1-1 O.;:;....__
through 6--30-/0 Page ___ of __ _
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
•contributor Codes
(Include all Schedule A subtotals.) .......................................................................... ,. ............................ $ _____ _
IND -Individual
COM-Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY-Politicat Party 2. Amount received this period -unitemized monetary contributions of less than $100 ............................. $ ______ _
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $
sec-Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll-Free Hetp&ne: 866/ASK-FPPC {866/275-3n2)
Schedule B-Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
!IF COMMITTEE, AlSO ENTER ID. NUMBER)
to IND • COM • 0TH • PTY • sec
to \NO • COM • 0TH O PTY • sec
to IND O COM • 0TH • PTY • sec
Type or print In ink.
Amounts may be rounded
to whole dolla,a.
Statement covers period
from / -/ -/ ()
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
through &-lo-/ t)
(b) (c)
ou~~g~,m AMOUNT AMOUNT PAID 0~1&~~~?
BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS
PERIOD THIS PERIOD•
•PAID
0 FORGIVEN
DATEDUE
•PAID
0 FOR(llVEN
DATEDUE
•PAID
0 FORGIVEN
OATE DUE
SUBTOTALS S $ s
$
$
$
(e)
INTEREST
PAJD THIS
PERIOD
__ %
RATE
__ %
RATE
__ %
RATE
(Enl&r(el on
SCHEDULE B -PART 1
CALIFORNIA 460
FORM
Page___ of __ _
1.0. NUMBER
ORIGINAL
AMOUNTOF
LOAN
DATE INCURREO
DATE INCURRED
DATE INCURRED
fg)
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR
PER ELECTION ..
CALENOAR YEAR
PER ELECTION..,.
CALENDAR YEAR
PER ELECTION ..
Schedule B Summary Schedue E, lino 31
1. Loans received this period .................................................................................................................... $ ______ _
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period ......................................................................................................... $ ______ _
(Total Column (c) plus loans under$100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET sh b.-t!:-
Enter the net here and on the Summary Page, ColumnA1 Line 2. ' (Maybeanevamrwmhltr)
tcontributor Codes
IND-Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec-Small Contributor Committee
•Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required. FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
SCHEDUL.EE ScheduleE
Payments Made
Type or print in Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from /-/-/d CALIFORNIA 46 0
FORM
SEE INSTRUCTIONS ON REVERSE through k-J(}-/ (') Page ___ of __ _
NAME OF FILER I.D.NUMBER I -/)-c_ 1-¾Q~
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
O.f' campaign paraphernalia/misc. MBR membercommunications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)" CFC office expenses SAL campaign workers' salaries
eve civic donations PET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/balot fees PIO phone banks 1RC candidate travel, lodging, and meals
FND fundraising events POL polling and suNey research lRS staff/spouse travel, lodging, and meals
N) independent expenditure supporting/opposing others (explain)* POS postage, deHvery and messenger services lSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional seNices {legal, accounting) VOT voter registration
ur campaign literature and mailings PRT print ads WEB information technology costs (internet, e-maU)
NAME AND ADDRESS OF PAYEE CODE OR: DESCRIPTION OF PAYMENT AMOUNT PAID (F COMMITTEE, ALSO ENTER I.D. NUMBER)
~07,.-,,--
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ ------
2. Unitemizedpaymentsmadethisperiodofunder$100 .......................................................................................................................................... $ _____ _
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ -----,---.----
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ .A/ lf1t-e---
FPPC Form 41!0 (January/05)
FPPC Ton-Free Helpllne: 861i/ASK-FPPC {866/275-3772)
Schedule E
(Continuation Sheet)
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
Slatem1mt covers period
from /--1-1°
through 6-5(}-/ ()
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
SCHEDULE E (CONT.)
CALIFORNIA 460
FORM
Page ___ of __ _
I.D.NUMBER
II
CM' campaign paraphernalia/misc. lvl3R membercommunications RAD radio airtime and production costs
CNS campaign consultants Mm meetings and appearances RFD returned contributions
CTB contribution (explain nonmonet91Y)* CFC office expenses SAL campaign workers' salaries eve civic donations PEI' petitlon circulating 1B.. t.v. or cable airtime and production costs
FL candidate filing/ballot fees Pl-0 phone banks 1RC candidate travel, lodging, and meals
FflO fundralslng events POL polling and survey research TRS staff/spouse travel, lodging, and meals
to independent expendHure supporting/opposing others (explain)' P05 postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
UT campaign literature and mailings PRT print ads 11\EB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE CODE (IF coMMmEE. ALSO ENTER to. NUMBER)
//0),JL-
I
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D.
OR DESCRIPTION OF PAYMENT AMOUNT PAID
SUBT0TAL$~O
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule I
Miscellaneous Increases to Cash
DATE
RECEIVED
6-';o-/O
FULL NAME AND ADDRESS DF SOURCE
(IF COMMITTEE, ALSO ENTE~ to, NUMBER)
Attach additional information on appropriately labeled continuation sheets.
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from /-/-/()
through 6-l cJ-/ tJ
DESCRIPTION OF RECEIPT
SUBTOTAL$
Schedule I Summary , z z
1. Itemized increases to cash this period ................ , ....................................................................................................... $ _____ _
2. Unitemized increases to cash of under $100 this period ............................................................................................. $ _____ _
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ -------,-
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 2, 't
Summary Page, Line 14.) ........................................................................................................................... TOTAL $ _,,_
SCHEDULE I
CALIFORNIA 460
FORM
Page __ of __
I.D.NUMBER
//-'Jcs:?'13'-
AMOUNT OF
INCREASE TO CASH
,. z~
FPPC Form 460 l,lanuary/05}
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Type or print In Ink. Campaign Disclosure Statement
Summary Page Amounts may be rounded
to whole dollars. Statament covers period
from /-f-/cJ
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
1. Monetary Contributions .•... .................. ........ ............ Schedule A, Line 3 $
2. Loans Received .......... ....... ........... ........... ....... ........ Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $
4. Nonmonetary Contributions ..................... ........ ....... Schedule c. Une 3
5. TOTALCONTRIBUTIONS RECEIVED ........................... AddLines3+4 $
Expenditures Made
6. Payments Made ............. .... ...................................... Schedule E, Line 4 $
7. Loans Made............................................................. Schedule H, Line 3
8. SUBTOTALCASHPAYMENTS .................................... AddLinesB+7 $
9. Accrued Expenses (Unpaid Bils) ............................... Schedule F. une 3
10. Non monetary Adjustment .......................................... Schedule c, une 3
11. TOTAL EXPENDITURES MADE ................................ Add unes B + 9 + 10 $
Current Cash Statement
12. Beginning Cash Balance....................... PreviousSumma,yPage, Line 16 $
13. Cash Receipts ............ ........ .................. ............. Column A, Line 3 above
14. Miscellaneous Increases to Cash ........... ................ Schedule 1, Line 4
15. Cash Payments.................................................. Column A, Line B above
16. ENDINGCASHBALANCE .......... Add Lines 12+ 13+ 14, then subtract Line 15 $
If lhis is a termination stalement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED........................... Schedules, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents........................................ see instnrotions on reven,e $
19. Outstanding Debts ......................... Adc/Line2+LJne9inColumnBabove $
ColumnA
TOTAL THIS PERIOO
(FROMATTACHEDSCHEDULES)
$
$
$
$
$
$
through
Columns
CALENDAR YEAR
TOTALTODATE
To calculate Column B, add
amounts in Column A lo the
correspon<ling amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
~-J{)-/d
Calendar Year Summary for Candidate&
Running in Both the State Primary and
General Elections
1/1 lhrough 6130 711 to Date
20. Contributions
Received $ ____ _ $ ____ _
21. Expenditures Made $ ____ _ $ ____ _
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
Pf Subject lo Vollntary ExpondHure Llml~
Date of Election
(mm/dd/yy)
__}__} __
Total to Date
$ ____ _
__}___}__ $ ____ _
• Amounts ln this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/OS)
FPPC Toll•fnHI Helpllne: 866/ASK-FPPC (8661275-3772)